1.The efficacy and safety of Emblica officinalis aqueous fruit extract among adult patients with dyslipidemia: A systematic review and meta-analysis
Laura Rosario T. Acampado ; Harold Henrison C. Chiu ; Ramon B. Larrazabal, Jr. ; Anna Elvira S. Arcellana ; Ma. Cecile S. Añ ; onuevo-Cruz
Acta Medica Philippina 2023;57(5):90-95
Background:
Flavonoids from Emblica officinalis effectively reduced serum and tissue lipid levels through their
inhibitory effect on the hepatic β-hydroxy-β-methylglutaryl coenzyme A reductase activity. This study aimed to determine the efficacy and safety of E. officinalis extract in adults with dyslipidemia.
Methods:
We searched the following electronic databases: MEDLINE (PubMed), MEDLINE (Ovid), Google Scholar, EMBASE, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Web of Science, and ClinicalTrials.gov from inception until January 31, 2022. Two reviewers independently screened the abstracts, reviewed full-text papers, and critically appraised the quality of included studies. Meta-analysis was performed using the random-effects model. Our primary outcomes were total cholesterol, LDL-C, serum triglycerides, and HDL-C levels, while secondary outcomes included adverse events.
Results:
A total of four randomized trials (N = 227) were included in the final analysis. There were statistically
significant decreases in total cholesterol levels (SMD = -21.23 mg/dL, 95% CI: -34.22, -8.25; P = 0.001) and LDL-C levels (SMD = -25.12 mg/dL, 95% CI: -40.24, -10.00; P = 0.001) and significant increase in HDL-C levels (SMD = 4.74 mg/dL, 95% CI: 0.40, 9.07; P = 0.03) after 12 weeks of intervention favoring the use of the Emblica extract over placebo. However, there were no statistically significant difference in the serum triglycerides levels following 12 weeks of treatment (SMD = -22.28 mg/dL, 95% CI: -53.33, 8.76; P = 0.16). There was high heterogeneity noted across all outcomes: total cholesterol (P = 0.01, I2 = 72%), LDL-C (P = 0.0004, I2 = 83%), HDL-C (P < 0.00001, I2 = 91%) and serum triglycerides (P < 0.00001, I2 = 93 %). The intervention was well tolerated and adverse events reported in the three of four studies were all mild: dyspepsia (7 events – treatment), mild diarrhea (3 events – placebo), fever (1 event – placebo), headache (1 event – placebo).
Conclusion
Compared to placebo, Emblica officinalis fruit extract resulted in lower total cholesterol and LDL-C levels and increased HDL-C levels but with no effect on serum triglyceride levels based on low certainty of evidence. Trials with a larger sample size that directly compare E. officinalis extract to statins, preferably local data, are needed to support its use in patients with dyslipidemia further.
dyslipidemia
;
Emblica officinalis
;
Phyllanthus emblica
;
meta-analysis
2.Strategies and ideas of comprehensive development and utilization of medicine and food homologous variety Phyllanthus emblica.
Hao-Zhou HUANG ; Fei RAN ; Qing-Chu TAN ; Ding-Kun ZHANG ; Meng-Qi LI ; San-Hu FAN ; Peng TAN ; Jin PEI ; Li HAN ; Jun-Zhi LIN
China Journal of Chinese Materia Medica 2021;46(5):1034-1042
Phyllanthus emblica is a kind of traditional medicine and medicinal and edible plant, with rich variety resources and high development value. It is a key poverty alleviation variety in China at present. As P. emblica processing industry is rising gradually in recent years, in order to fully develop and utilize its industrial resources, this paper systematically introduces current comprehensive development and utilization of P. emblica, discusses the problems in P. emblica processing industry, and puts forward comprehensive development and utilization strategies and industrial models in terms of cultivation, breeding, grading, quality evaluation and waste recycling, so as to provide a certain reference for promoting the high-quality development of P. emblica industry in China.
China
;
Medicine
;
Medicine, Traditional
;
Phyllanthus emblica
;
Plant Breeding
;
Plant Extracts
3.Study on biological active ingredients from Phyllanthus niruri linn, Euphorbiaceae
Pharmaceutical Journal 2003;9():12-14
Phyllanthus niruri L. has been used in the folk-medicine of Vietnam and many countries in the world. Authors published the results about separation and recognition phyllathin hypothyllathin and beta-sitoscriptase, these are antioxidant, antibacterial activities. It works at 3 bacterial strains, these are: E. coli, B. subtilis and S. cervisiace; both these agents expressed antioxidant activity but much less than quercetin
Phyllanthus
;
Chemistry
;
Medicine, Traditional
4.Effects of longterm hepamarin therapy on some hematological and biochemical indicators in experimental mice
Journal of Practical Medicine 2002;435(11):31-32
A study on the effects of longterm hepamarin therapy on some hematological and biochemical indicators in 50 experimental male mice was carried out. The hepamirin was a preparation from phyllantus amarus used at dose of 5 g/kg of bodyweight within 3 months. The results have shown that above mentioned dose of hepamarin did not affect on the number of leukocyte, erythrocyte and body weight of mice as well as liver and kidney functions
Biological Markers
;
Animals
;
Phyllanthus
5.HPLC-fingerprint-based quality evaluation on a Tibetan medicine Phyllanthus emblica and its tannin parts.
Xue-Fei SUN ; Hong-Yan ZHANG ; Qing XIA ; Hai-Juan ZHAO ; Ling-Fang WU ; Lan-Zhen ZHANG ; Ren-Bing SHI
China Journal of Chinese Materia Medica 2014;39(7):1173-1178
This study is to establish the fingerprint for Phyllanthus emblica and their tannin parts from different habitats by HPLC for its quality control. The determination was carried out on a Diamonsil C18 (4.6 mm x 250 mm, 5 microm) column, with methanol-0.2% glacial acetic acid as mobile phase with gradient elution at a flow rate of 1 mL x min(-1). The temperature was maintained at 30 degrees C and the detected wavelength is 260 nm, Thirteen chromatographic peaks were extracted as the common peaks of the fingerprint of P. emblica, and eleven as the common peaks of P. emblica tannin parts, and five peaks were identified by comparing with referent samples. The fingerprints of 8 samples were compared and classified by similarity evaluation, cluster analysis and principal component analysis (PCA). The similarity degrees of eight P. emblica were between 0.763 and 0.993, while tannin parts were between 0.903 and 0.991. All the samples of P. emblica and their tannin parts were classified into 3 categories. The method was so highly reproducible, simple and reliable that it could provide basis for quality control and evaluation of P. emblica from different habitats.
Chromatography, High Pressure Liquid
;
Drugs, Chinese Herbal
;
analysis
;
Medicine, Tibetan Traditional
;
Phyllanthus emblica
;
chemistry
;
classification
;
Quality Control
;
Tannins
;
analysis
;
Tibet
6.Diversity and Biological Activities of Endophytic Fungi of Emblica officinalis, an Ethnomedicinal Plant of India.
Archana NATH ; Prajwal RAGHUNATHA ; S R JOSHI
Mycobiology 2012;40(1):8-13
In the present study, an attempt to evaluate the antimicrobial and antioxidant activity of fungal endophytes inhabiting Emblica officinalis has been made keeping in view the medicinal importance of the selected host plant in Indian traditional practices. A total of four endophytic fungi belonging to Phylum Ascomycetes were isolated from different parts of the plant which were characterized morphologically and by using rDNA-internal transcribed spacer. The most frequently isolated endophyte was Phomopsis sp. The antioxidant activity by 2, 2-diphenyl-1-picrylhydrazyl (DPPH) and reducing power assay, and total phenol were evaluated using ethanolic extract of endophytic fungi. DPPH activities in all the ethanolic extract increased with the increase in concentrations. Endophytes, Phomopsis sp. and Xylaria sp. showed highest antioxidant activity and also had the higher levels of phenolics. Antimicrobial activity of fungal extract were tested against four bacteria namely, Escherichia coli MTCC730, Enteroccocus faecalis MTCC2729, Salmonella enterica ser. paratyphi MTCC735 and Streptococcus pyogenes MTCC1925, and the fungus Candida albicans MTCC183. In general, the fungal extracts inhibited the growth of test organisms except E. coli.
Ascomycota
;
Bacteria
;
Biphenyl Compounds
;
Candida albicans
;
Endophytes
;
Escherichia coli
;
Ethanol
;
India
;
Phenol
;
Phyllanthus emblica
;
Picrates
;
Plants
;
Salmonella enterica
;
Streptococcus pyogenes
7.Phyllanthus amarus in the treatment of viral hepatitis
Pharmaceutical Journal 2000;291(7):8-10
This paper introduced a traditional medicinal plant - phyllanthus amarus Euphorbiaceae. The researches on the this plant showed that the plant had an effect on the treatment of viral hepatitis. During the treatment, it should assure the indication, contraindication, administration, dosage and dietary and accommodation regime.
Hepatitis, Viral, Human
;
Phyllanthus
;
therapeutics
8.Studies on chemical constituents in fruits of Tibetan medicine Phyllanthus emblica.
Lan-zhen ZHANG ; Wen-hua ZHAO ; Ya-jian GUO ; Guang-zhong TU ; Shu LIN ; Lin-guang XIN
China Journal of Chinese Materia Medica 2003;28(10):940-943
OBJECTIVETo investigate the chemical constituents of Tibetan medicine Phyllanthus emblica.
METHODVarious chromatographic techniques were employed for isolation and purification of the constituents, and the structures were elucidated by chemical and spectral analyses.
RESULT11 compounds were isolated and identified as gallic acid (I), ellagic acid (II), 1-O-galloyl-beta-D-glucose (III), 3,6-di-O-galloyl-D-glucose (IV), chebulinic acid (V), quercetin (VI), chebulagic acid (VII), corilagin (VIII), 3-ethylgallic acid (3-ethoxy-4,5-dihydroxy-benzoic acid, IX), isostrictiniin (X), 1,6-di-O-galloyl-beta-D-glucose (XI).
CONCLUSION3-Ethylgallic acid (3-ethoxy-4,5-dihydroxy-benzoic acid) is a novel compound, and isostrictiniin was found from P. emblica for the first time.
Ellagic Acid ; chemistry ; isolation & purification ; Fruit ; chemistry ; Gallic Acid ; analogs & derivatives ; chemistry ; isolation & purification ; Phyllanthus emblica ; chemistry ; Plants, Medicinal ; chemistry ; Tibet
9.Study on hepato-cellular protective action of Phyllanthus niruri L. in mice intoxicated by CCL4
Pharmaceutical Journal 1999;274(2):21-23
The hepatoprotective effects of extracts from Phyllanthus niruri obtained by different extraction procedures were evaluated using mice with acute hepatitis, included by CCL4. The effects of lowering the serum ALT and AST of these extracts were clearly demonstrated. It was founded that the hepatoprotective effect of extract produced a protective action better than a recovery one on. Activities of Extract 3 and ChophytolR were compared
Adenoma
;
Hepatocytes
;
Phyllanthus
;
Carbon Tetrachloride
;
Pharmaceutical Preparations
10.Neuroprotective Effect of Chebulagic Acid via Autophagy Induction in SH-SY5Y Cells.
Hee Ju KIM ; Joonki KIM ; Ki Sung KANG ; Keun Taik LEE ; Hyun Ok YANG
Biomolecules & Therapeutics 2014;22(4):275-281
Autophagy is a series of catabolic process mediating the bulk degradation of intracellular proteins and organelles through formation of a double-membrane vesicle, known as an autophagosome, and fusing with lysosome. Autophagy plays an important role of death-survival decisions in neuronal cells, which may influence to several neurodegenerative disorders including Parkinson's disease. Chebulagic acid, the major constituent of Terminalia chebula and Phyllanthus emblica, is a benzopyran tannin compound with various kinds of beneficial effects. This study was performed to investigate the autophagy enhancing effect of chebulagic acid on human neuroblastoma SH-SY5Y cell lines. We determined the effect of chebulagic acid on expression levels of autophagosome marker proteins such as, DOR/TP53INP2, Golgi-associated ATPase Enhancer of 16 kDa (GATE 16) and Light chain 3 II (LC3 II), as well as those of its upstream pathway proteins, AMP-activated protein kinase (AMPK), mammalian target of rapamycin (mTOR) and Beclin-1. All of those proteins were modulated by chebulagic acid treatment in a way of enhancing the autophagy. Additionally in our study, chebulagic acid also showed a protective effect against 1-methyl-4-phenylpyridinium (MPP+) - induced cytotoxicity which mimics the pathological symptom of Parkinson's disease. This effect seems partially mediated by enhanced autophagy which increased the degradation of aggregated or misfolded proteins from cells. This study suggests that chebulagic acid is an attractive candidate as an autophagy-enhancing agent and therefore, it may provide a promising strategy to prevent or cure the diseases caused by accumulation of abnormal proteins including Parkinson's disease.
1-Methyl-4-phenylpyridinium
;
Adenosine Triphosphatases
;
AMP-Activated Protein Kinases
;
Autophagy*
;
Cell Line
;
Humans
;
Lysosomes
;
Negotiating
;
Neuroblastoma
;
Neurodegenerative Diseases
;
Neurons
;
Neuroprotective Agents*
;
Organelles
;
Parkinson Disease
;
Phyllanthus emblica
;
Sirolimus
;
Terminalia